Davis, Kristen Lynn

Davis, Kristen Lynn is an sole proprietor health care provider with primary practice located at 1202 Annapolis Rd Suite F, Odenton MD 21113-1397. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Kristen Lynn can be contacted via phone (410) 672-2862.

Contact Information

Primary practice address
1202 Annapolis Rd Suite F Odenton MD 21113-1397
Phone: (410) 672-2862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X SW10713 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 10713 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21131 Maryland

Profile Details

NPI number 1215295027
LBN Legal business name Davis, Kristen Lynn
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated May 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215295027 NPPES
Florida Other SW10713 LCSW LICENSE
Florida Other 21131 LCSW LICENSE

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